Nasco Life form LF01006U User manual

Pediatric Caudal
Injection Simulator
LF01006U
Instruction Manual
Pediatric Caudal
Injection Simulator
LF01006U
Instruction Manual
Products by Nasco Products by Nasco
CAUTION: PRODUCT CONTAINS DRY NATURAL RUBBER! CAUTION: PRODUCT CONTAINS DRY NATURAL RUBBER!
NP061_14_LF01006_CaudalInjectindd.indd 1 4/30/14 2:59 PM

Benefits
•Targets key skills specific to pediatric lumbar
puncture and caudal injection
•Palpation of landmarks
•Needle positioning and insertion
•Cerebrospinal fluid collection
•Measure cerebrospinal fluid pressure
•Intrathecal injections
Features
•Anatomically correct,
palpable features
•Correct body positioning
•Replaceable parts
•Realistic resistance
•Simulated CSF flows
with successful puncture
•Transparent skin pad
allows for visual
identification of
landmarks
•Visual feedback of proper
needle placement
Benefits
•Targets key skills specific to pediatric lumbar
puncture and caudal injection
•Palpation of landmarks
•Needle positioning and insertion
•Cerebrospinal fluid collection
•Measure cerebrospinal fluid pressure
•Intrathecal injections
Features
•Anatomically correct,
palpable features
•Correct body positioning
•Replaceable parts
•Realistic resistance
•Simulated CSF flows
with successful puncture
•Transparent skin pad
allows for visual
identification of
landmarks
•Visual feedback of proper
needle placement
List of Components
A. Pediatric Caudal Injection Simulator on
Board
B. Opaque Skin Pad
C. Clear Skin Pad
D. Tissue Block
E. Spine
F. Spinal Tubing Assembly
G. 500 ml Fluid Supply Bag
H. 100 ml Fluid Supply Bag
I. 20 cc Syringe
J. Baby Powder, 4 oz.
Hard Carry Case (Not Pictured)
List of Components
A. Pediatric Caudal Injection Simulator on
Board
B. Opaque Skin Pad
C. Clear Skin Pad
D. Tissue Block
E. Spine
F. Spinal Tubing Assembly
G. 500 ml Fluid Supply Bag
H. 100 ml Fluid Supply Bag
I. 20 cc Syringe
J. Baby Powder, 4 oz.
Hard Carry Case (Not Pictured)
About the Simulator
Developed to have a unique dual purpose, the
Life/form®Pediatric Caudal Injection Simulator
will allow for both lumbar puncture and caudal
injection. Anatomically correct, this simulator
represents a 12-month old infant in the left lateral
decubitus position with neck and knees flexed.
About the Simulator
Developed to have a unique dual purpose, the
Life/form®Pediatric Caudal Injection Simulator
will allow for both lumbar puncture and caudal
injection. Anatomically correct, this simulator
represents a 12-month old infant in the left lateral
decubitus position with neck and knees flexed.
B. B.
A. A.
C. C.
D. D.
E. E.
F. F.
H. H.
I. I.
G. G.
J. J.
Clamp Clamp
Bag A Bag A
Exit
Tubing
Exit
Tubing
Stopcock B Stopcock B
Up-Tube Up-Tube
Side
Port
Side
Port
Luer
Barb
Luer
Barb
Stopcock A Stopcock A
Elbow
Fitting
Elbow
Fitting
Bag B Bag B
Spinal
Tubing
Spinal
Tubing
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Setup
1. Position the latex spinal tubing in the spine
by sliding the exit tubing and spinal tubing
through the top of the spine and out through
the bottom. (See figure 1.)
2. Snap the spine into the tissue block. (See
figure 2.)
3. Feed the clear up-tube through the flange in
the upper left corner of the back cavity. (See
figure 3.)
4. Position tissue block/spine inside the back
cavity by first inserting tab on base of spine
into slot on body and pushing the rest of the
tissue block into place. (See figure 4.)
5. Attach 100 ml Fluid Supply Bag (Bag B) by
connecting Stopcock B to the exit tubing.
(See figure 5.) The system will also work
without the bag; fluids can be drained into a
small container or onto a towel.
6. Attach the up-tube to the Luer barb of
Stopcock A. (See figure 6.)
7. Snap one of the skin pads onto the body.
(See figure 7.) The clear skin pad enables
students to visualize the underlying anatomy
while palpating landmarks. Due to the nature
of the clear material, injections will leave visi-
ble needle tracks. The opaque skin pad can
be used for more realistic hands-on training,
including injections.
8. A light dusting of baby powder will give the
skin a more realistic feel.
Setup
1. Position the latex spinal tubing in the spine
by sliding the exit tubing and spinal tubing
through the top of the spine and out through
the bottom. (See figure 1.)
2. Snap the spine into the tissue block. (See
figure 2.)
3. Feed the clear up-tube through the flange in
the upper left corner of the back cavity. (See
figure 3.)
4. Position tissue block/spine inside the back
cavity by first inserting tab on base of spine
into slot on body and pushing the rest of the
tissue block into place. (See figure 4.)
5. Attach 100 ml Fluid Supply Bag (Bag B) by
connecting Stopcock B to the exit tubing.
(See figure 5.) The system will also work
without the bag; fluids can be drained into a
small container or onto a towel.
6. Attach the up-tube to the Luer barb of
Stopcock A. (See figure 6.)
7. Snap one of the skin pads onto the body.
(See figure 7.) The clear skin pad enables
students to visualize the underlying anatomy
while palpating landmarks. Due to the nature
of the clear material, injections will leave visi-
ble needle tracks. The opaque skin pad can
be used for more realistic hands-on training,
including injections.
8. A light dusting of baby powder will give the
skin a more realistic feel.
Figure 1 Figure 1
Figure 3 Figure 3
Figure 2 Figure 2
Figure 4 Figure 4
Figure 5 Figure 5
Figure 6 Figure 6
Figure 7 Figure 7
NP061_14_LF01006_CaudalInjectindd.indd 4 4/30/14 3:00 PM

General Instructions for Use
To perform a caudal injection:
Note: Spinal fluid is not normally encountered
when performing a caudal block. The instructions
below are for a water-free system. If you wish to
introduce water in the spinal canal, follow setup
instructions for lumbar puncture at right.
1. Cap the side port and close the bottom port
of Stopcock A.
2. Open Stopcock B. (See figure 8 & insets.)
Note: Nasco recommends plain water to sim-
ulate preparation of the injection site. Some
antiseptic solutions may permanently stain the
plastic.
3. Perform the injection procedure in the sacral
hiatus.
Note: Nasco recommends plain distilled water
as the injectate. Fluid injected into the spinal
space will be visible as it travels down the exit
tube.
General Instructions for Use
To perform a caudal injection:
Note: Spinal fluid is not normally encountered
when performing a caudal block. The instructions
below are for a water-free system. If you wish to
introduce water in the spinal canal, follow setup
instructions for lumbar puncture at right.
1. Cap the side port and close the bottom port
of Stopcock A.
2. Open Stopcock B. (See figure 8 & insets.)
Note: Nasco recommends plain water to sim-
ulate preparation of the injection site. Some
antiseptic solutions may permanently stain the
plastic.
3. Perform the injection procedure in the sacral
hiatus.
Note: Nasco recommends plain distilled water
as the injectate. Fluid injected into the spinal
space will be visible as it travels down the exit
tube.
4. To clear injected fluid from the system
between procedures, close the top port
of Stopcock A, uncap the side port, open
Stopcock B, and inject air with the syringe
via side port. (See figure 9 & inset.)
5. Occasionally disconnect Bag B to remove
excess air and/or fluid.
6. When finished training, drain all bags and
tubing; allow to air dry. Remove spine and
tissue block from body. To avoid damage,
do not allow latex spinal tubing to remain in
contact with any soft plastic components of
the trainer for extended periods of time.
4. To clear injected fluid from the system
between procedures, close the top port
of Stopcock A, uncap the side port, open
Stopcock B, and inject air with the syringe
via side port. (See figure 9 & inset.)
5. Occasionally disconnect Bag B to remove
excess air and/or fluid.
6. When finished training, drain all bags and
tubing; allow to air dry. Remove spine and
tissue block from body. To avoid damage,
do not allow latex spinal tubing to remain in
contact with any soft plastic components of
the trainer for extended periods of time.
Figure 8 Figure 8
Figure 9 Figure 9
Stopcock A:
Side Port Capped
Bottom Port Closed
Stopcock A:
Side Port Capped
Bottom Port Closed
Stopcock A:
Side Port Uncapped
Top Port Closed
Stopcock A:
Side Port Uncapped
Top Port Closed
Stopcock B:
Open
Stopcock B:
Open
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Care and Maintenance
Replacing the spinal tubing:
Tubing and skin pads will eventually need to be
replaced. Using the smallest needle gauge possi-
ble will extend the life of the tubing and skin pads.
Dull, burred, or large gauge needles will cause
leakage and premature wear. Rotating the spinal
tubing and turning it end-for-end will also give you
added puncture sites.
1. Disconnect Bag A and drain all fluids from the
trainer by opening Stopcocks A and B.
2. Disconnect Stopcock B from the exit tubing.
3. Disconnect the up-tube from the Luer barb
fitting on Stopcock A.
4. Remove the spine/block assembly from the
Pediatric Caudal Injection Simulator.
5. Remove and discard up-tube, spinal tub-
ing, and exit tube. Save Bag A and clamp,
Stopcock A with tubing assembly, and Bag B
with Stopcock B.
Care and Maintenance
Replacing the spinal tubing:
Tubing and skin pads will eventually need to be
replaced. Using the smallest needle gauge possi-
ble will extend the life of the tubing and skin pads.
Dull, burred, or large gauge needles will cause
leakage and premature wear. Rotating the spinal
tubing and turning it end-for-end will also give you
added puncture sites.
1. Disconnect Bag A and drain all fluids from the
trainer by opening Stopcocks A and B.
2. Disconnect Stopcock B from the exit tubing.
3. Disconnect the up-tube from the Luer barb
fitting on Stopcock A.
4. Remove the spine/block assembly from the
Pediatric Caudal Injection Simulator.
5. Remove and discard up-tube, spinal tub-
ing, and exit tube. Save Bag A and clamp,
Stopcock A with tubing assembly, and Bag B
with Stopcock B.
Cleaning and storage:
1. Always drain all fluids before storing the unit.
2. The tissue block and skin pads may be
washed with warm soapy water to remove dirt
and oils. Printed material, inks, markers, and
some antiseptic solutions may permanently
stain the plastic.
3. The body may be cleaned with mild soap
detergent and a damp cloth, or with Nasco
Cleaner (LF09919U).
4. Do not submerge the body in water.
5. Never store the latex spinal tubing in contact
with any soft plastic components. Remove it
from the body and store separately in a plastic
bag.
Available Supplies and Replacement Parts
LF01006AU Replacement Kit: 1 clear skin pad,
1 opaque skin pad, and 1 spinal tubing
assembly
LF01022U Fluid Supply Stand
LF09919U Nasco Cleaner
Cleaning and storage:
1. Always drain all fluids before storing the unit.
2. The tissue block and skin pads may be
washed with warm soapy water to remove dirt
and oils. Printed material, inks, markers, and
some antiseptic solutions may permanently
stain the plastic.
3. The body may be cleaned with mild soap
detergent and a damp cloth, or with Nasco
Cleaner (LF09919U).
4. Do not submerge the body in water.
5. Never store the latex spinal tubing in contact
with any soft plastic components. Remove it
from the body and store separately in a plastic
bag.
Available Supplies and Replacement Parts
LF01006AU Replacement Kit: 1 clear skin pad,
1 opaque skin pad, and 1 spinal tubing
assembly
LF01022U Fluid Supply Stand
LF09919U Nasco Cleaner
Actual product may vary slightly from photo.
Nasco reserves the right to change product color,
materials, supplies, or function as needed.
Actual product may vary slightly from photo.
Nasco reserves the right to change product color,
materials, supplies, or function as needed.
To perform a lumbar puncture:
1. Connect the 500 ml Fluid Supply Bag (Bag A)
to the tubing section of Stopcock A. Close the
tubing clamp on the 500 ml Fluid Supply Bag.
2. Cap the side port AND close the side port of
Stopcock A.
3. Close Stopcock B.
4. Fill Bag A with approximately 225 ml of
water and hang it 16" from the work surface.
(Hanging height will determine fluid pressure
in the spinal tubing, and may be adjusted
as required.) Fluid supply stand (LF01022U)
sold separately.
5. Open the Bag A clamp and Stopcock A.
6. Briefly open Stopcock B to allow water to
displace the air in the tubing. The spinal
column is charged when water fills the exit
tubing.
7. Close Stopcock B; the clamp on Bag A
remains open. (See figure 10.)
8. Perform the lumbar puncture procedure in
the L3-L4 or L4-L5 space.
9. When finished training, drain all bags and
tubing; allow to air dry. Remove spine and
tissue block from body. To avoid damage,
do not allow latex spinal tubing to remain in
contact with any soft plastic components of
the trainer for extended periods of time.
To perform a lumbar puncture:
1. Connect the 500 ml Fluid Supply Bag (Bag A)
to the tubing section of Stopcock A. Close the
tubing clamp on the 500 ml Fluid Supply Bag.
2. Cap the side port AND close the side port of
Stopcock A.
3. Close Stopcock B.
4. Fill Bag A with approximately 225 ml of
water and hang it 16" from the work surface.
(Hanging height will determine fluid pressure
in the spinal tubing, and may be adjusted
as required.) Fluid supply stand (LF01022U)
sold separately.
5. Open the Bag A clamp and Stopcock A.
6. Briefly open Stopcock B to allow water to
displace the air in the tubing. The spinal
column is charged when water fills the exit
tubing.
7. Close Stopcock B; the clamp on Bag A
remains open. (See figure 10.)
8. Perform the lumbar puncture procedure in
the L3-L4 or L4-L5 space.
9. When finished training, drain all bags and
tubing; allow to air dry. Remove spine and
tissue block from body. To avoid damage,
do not allow latex spinal tubing to remain in
contact with any soft plastic components of
the trainer for extended periods of time.
Figure 10 Figure 10
NP061_14_LF01006_CaudalInjectindd.indd 6 4/30/14 3:00 PM

COPYRIGHT © NASCO 2014 PRINTED IN U.S.A. NP 061-14 COPYRIGHT © NASCO 2014 PRINTED IN U.S.A. NP 061-14
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901 Janesville Avenue, P.O. Box 901
Fort Atkinson, Wisconsin 53538-0901
1-800-558-9595
eNasco.com • E-mail: [email protected]
901 Janesville Avenue, P.O. Box 901
Fort Atkinson, Wisconsin 53538-0901
1-800-558-9595
eNasco.com • E-mail: [email protected]
LF01206U LF01206U
LF01035U
LF00999U
Fort Atkinson
LF01035U
LF00999U
Fort Atkinson
NP061_14_LF01006_CaudalInjectindd.indd 8 4/30/14 3:00 PM